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20 Cards in this Set
- Front
- Back
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How do infants breathe for the first 6 months of their life |
Through their nose |
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What is the normal heart rate for up to 1yr old |
110 - 160 bpm |
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What is the normal heart rate for 1 to 2 yr old |
110-150bpm |
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What’s the normal heart rate for 2-5yr opd |
95 - 140bpm |
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What is the normal heart rate for 5-12yr old |
80-120bpm |
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When approaching a sick child you should |
Approach calm and quietly Get down to their level Always tell the truth if it’s going to hurt Smile and interact in a friendly way |
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Parents are an important part of the child so you must |
Ask them for consent for treatment/interventions Explain everything you’re doing and why |
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What should you look for when assessing a sick child |
Appearance (tone, interaction, consolability, look/gaze, speech/cry) Breathing (sounds, positioning, retractions, nasal flaring) Circulation (pallor, mottling, cyanosis) |
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When assessing the Airway you should |
Look - foreign bodies, vomit, obvious obstructions, signs of infection, swelling and drool Listen - noisy airflow (snoring, gurgling, wheezing) Feel - for air movement |
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When assessing a child’s breathing you should expose the chest and obtain a breathing rate and: |
Recession Accessory muscle use Nasal flailing Inspiration/expiratory noises Grunting |
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When should you consider assisted ventilation |
If remains hypoxic <90% after 30/69 secs of high flow o2 Respiratory rate is less than 50% normal or is over 3 times as normal Expansion is inadequate |
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Why should you avoid hyperinflation |
Can result in barotrauma or gastric inflation |
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What does SAMPLE mean |
Signs and Symptoms Allergies Medication Past medical history Last eaten Events prior |
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What does SOCRATES stand for |
Site (where is the pain) Onset (when did it first start) Character (what is it like) Radiates (does it travel anywhere) Associated symptoms Timings (duration, frequency, patterns) Exacerbating/relieving factors Severity (1-10 pain score) |
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How often should you reassess baseline observations |
Every 5 mins when time critical |
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SUDICA (sudden unexpected death in infants, children and adolescents) is defined as |
The sudden and unexpected death of a infant or child for which no adequate cause is found |
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SUDICA is the most common death in children aged |
1 month to 1 year |
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What is the peak age for SUDICA |
2 to 4 months |
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What should you do when faced with possible SUDICA |
Resuscitation should be attempted in all cases unless condition is unequivocally associated with death or valid advanced directive Rapid transport to nearest ED once ALS/BLS has commenced DO NOT transport infants straight to mortuary |
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What needs to be documented when SUDICA has occurred |
Time arrived on scene Situation in which the child was found Brief description of events leading up to finding the child |
